Active NPI
Terri Lee Cabanilla, DPT
- Physical Therapist
- Worcester, MA
National Provider Identifier
1932235496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17718
- Practice address
- 484 Main St
6TH Floor
Worcester, MA 01608-1893 - Phone
- (508) 751-6322
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 17718 | MA | Primary |
Addresses
Primary practice location
484 Main St
6TH Floor
Worcester, MA 01608-1893
Mailing address
61 Slade St
Belmont, MA 02478-2224
Phone (617) 489-2562
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17718 | MA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Massachusetts, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Bridgewater, MA
- NPI 1033386842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252886400000",
"number": "1932235496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 SLADE ST",
"city": "BELMONT",
"state": "MA",
"postal_code": "024782224",
"telephone_number": "617-489-2562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 MAIN ST",
"address_2": "6TH FLOOR",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081893",
"telephone_number": "508-751-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABANILLA",
"first_name": "TERRI",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2009-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "17718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.